A 68-year-old with HFrEF (EF 25%) on ACEI, beta-blocker, and diuretic is admitted for decompensation. After stabilization, how should GDMT be optimize...

Question

A 68-year-old with HFrEF (EF 25%) on ACEI, beta-blocker, and diuretic is admitted for decompensation. After stabilization, how should GDMT be optimized before discharge?

Accepted Answer

Transition ACEI to sacubitril/valsartan and add MRA and SGLT2i as tolerated

Answer

Continue ACEI only; avoid ARNI inpatient

Answer

Stop beta-blocker to avoid hypotension

Answer

Add hydralazine/isosorbide only

Answer

Start verapamil for rate control

us-abim MCQ (SBA): Heart Failure (GDMT Optimization)

A 68-year-old with HFrEF (EF 25%) on ACEI, beta-blocker, and diuretic is admitted for decompensation. After stabilization, how should GDMT be optimized before discharge?